I asked the doctor again for a TSH test, FT3, FT4. When I went to see the order, the doctor idiot put T3 Total and not FT3. I also checked Sodium and Potassium.
11/22/2019
TSH - 4.1 mIU / L (0.45 to 4.5 mIU / L)
FT4 - 1.4 ng / dL (0.9 to 1.7 ng / dL)
T3 - 77 ng / dL (70 to 200 ng / dL)
Sodium - 141 mEq / L (136 to 145 mEq / L)
Potassium - 4.6 mEq / L (3.5 to 5.1 mEq / L)
B-12 - 411 ng / L
TSH had a considerable drop from one exam to another, from 5.2 to 4.1. What could have caused this? ? Increased intake of iodized salt in food could have been it?
With this test result, even without the FT3, would you evaluate the functioning of the thyroid?
Even if the TSH is high but within the reference range, should I worry? A good number would be below 2.5?
This time I gave 5 days Off biotin, instead of 4 days off last time. Could it have been that the first time a read error occurred?
I look forward to the most experienced for advice.
You are seeing a natural daily fluctuation, if you were to test TSH everyday, you would get a different result. I want to know how much thyroid hormone (fT3) is making it into the cells, T3 doesn’t do that.
As for why your doctor tested T3 instead of fT3, it’s been a knee-jerk-reaction for a long time and old habits die hard.
I’ll add that your FT4 looks pretty optimal. So if you do try a thyroid med it would be T3 only. I’m wondering since you do have a high TSH if you have the beginnings of Hashimoto’s.
Edit: forgot you already got antibodies checked and you don’t have Hashimoto’s.
Total bummer you didn’t get FT3. Might be worth just paying out of pocket for that. The other values have all been pretty stable so you could just get that one value.
Have you taken antibiotics in the past? Abx can induce dysbiosis which can cause problems such as malabsorption, anemia, leukopenia, etc. Have you done a CBC panel? If Free T3 is low, you have an under-conversion of T4 to T3. Here are some causes in this link:
ERYTHROCYTES: 5.14 million / mm3 (4.30 to 5.70)
HEMOGLOBINE: 15.7 g / dL (13.5 to 17.5)
HEMATOCrit: 46.1% (39.0 to 50.0)
AVERAGE CORPUSCULAR HEMOGLOBIN: 30.5 pg (26.0 to 34.0)
AVERAGE CORPUSCULAR VOLUME: 89.7 fL (81.0 to 95.0)
HEMOGLOBIN CONCENTRATION
AVERAGE CORPUSCULAR: 34.1 g / dL (31.0 to 36.0)
COEFFICIENT OF VARIATION OF
ERYTHROCYTE VOLUME (RDW): 12.8% (11.8 to 15.6)
MORPHOLOGICAL CHARACTERS:
normal
RESULT
% / mm3 / mm3
Leukocytes: 6,300 (3,500 to 10,500)
Neutrophils: 43.9 2,770 (1,700 to 7,000)
Eosinophils: 2.4 150 (50 to 500)
Basophils: 0.5 30 (0 to 300)
Lymphocytes: 41.9 2.640 (900 to 2.900)
Monocytes: 11.3 710 (300 to 900)
TOTAL PLATES: 196,000 / mm3 (150,000 to 450,000 / mm3)
AVERAGE PLATE VOLUME: 10.3 fL (9.2 to 12.6 fL)
CBC looks good. Begin Iodine supplementation. Arctic Kelp or other high iodine food source. Check Free T3 and 24-hour saliva cortisol if you want more pertinent data.
Just chiming in to say that with a level of 666 I’d definitely be worried. Jk lol
Prolactin of 20 is barely high, guys with pituitary tumors reach thousands. Stress and a lot of other things can raise it a lot too. I wouldn’t do anything unless it tests elevated again. And then I’d just look into B6 or other “natural” PRL lowering means. Get an MRI too.
Yes. In fact, throw away the iodized salt. Iodine content is negligible and often contains dextrose, and calcium silicate as an anti-caking agent. You will actually feel the health benefits of Celtic Sea Salt. Get an iodine supplement for your iodine requirements. This is what I personally do too.
I can’t answer on iodine loading but if you decide to go that route, I would supplement with selenium also. Pretty sure I have read iodine supplementation without selenium can have detrimental effects on the thyroid. At least in larger doses that iodine supplements provide. If I am wrong on that please let me know.
rise80 is correct. You must supplement both Selenium and Iodine together, as there are problems that will arise if you don’t take them together. Do not load Iodine. 225mcg per Kelp tablet daily is sufficient. Selenomethionine from Thorne is a good brand.